[Hiring] Billing Specialist III @UT Southwestern Medical Center

Role Description

UT Southwestern Medical Center has a new opportunity available for a Billing Specialist III. The successful applicant will work under moderate supervision to perform advanced level billing responsibilities. Your duties will include but are not limited to the following:

• Must have a hospital or medical insurance background providing insurance verification or pre-authorization experience.
• Resolves charge review warnings, edits, and claims edits.
• Abstracts Radiology reports in CodeRyte for CPT and ICD-10.
• Has previous EPIC experience (preferred).
• Previous billing within Radiology is preferred.
• Can do, initiative-taking who thrives within a metric-based environment.

Shift: Flex, 8-hour days (To be discussed during the interview)

Work from home: Applicant must live within the State of Texas.

Qualifications

• High School Diploma or equivalent.
• 3 years Medical billing or collections experience.
• Must demonstrate the ability to work complex E&M services, complex diagnostic studies, endoscopic, interventional and/or surgical procedures.
• Must demonstrate the ability to make calls to obtain authorizations.

Requirements

• Coding certifications (CPC, CPMA, CMC, ART, RRA, RHIA, RHIT, CCS, CCA) and/or degrees (associate level, bachelor level, master level) preferred and may be considered in lieu of experience.
• (CPC) CERT PROFESSIONAL CODER Upon Hire or
• (CPMA) Cert Prof Medical Auditor Upon Hire or
• (CMC) CERT MEDICAL CODER Upon Hire or
• (ART) ASSOC RECORDS ADMIN Upon Hire or
• (RRA) REGISTERED RECORDS ADMIN Upon Hire or
• (RHIA) REGD HEALTH INFO ADMINIST Upon Hire or
• (RHIT) REGD HEALTH INFO TECHNOLO Upon Hire or
• (CCS) CERT CODING SPECIALIST Upon Hire or
• (CCA) Cert Coding Associate Upon Hire.

Benefits

• PPO medical plan, available day one at no cost for full-time employee-only coverage.
• 100% coverage for preventive healthcare - no copay.
• Paid Time Off, available day one.
• Retirement Programs through the Teacher Retirement System of Texas (TRS).
• Paid Parental Leave Benefit.
• Wellness programs.
• Tuition Reimbursement.
• Public Service Loan Forgiveness (PSLF) Qualified Employer.

Job Duties

• Analyzes, investigates and resolves coding edits for complex drug billing, complex diagnostic studies, endoscopic, interventional and/or surgical procedures.
• Performs abstracting on E&M services, complex diagnostic studies, and/or endoscopic, interventional or surgical procedures.
• Perform monthly charge reconciliation.
• Serves as a resource to the FERC Team Leads, Compliance Auditors, Medical Collectors and Billing Specialists I & II.
• Performs manual charge entry for all non-EpicCare and non-automated sites of services.
• Investigates and resolves coding and registration Epic Resolute Claim edits.
• May assist in obtaining insurance authorizations and accurately maintaining the authorization records.
• May lead, train, and/or mentor the work of lower-level designated coding employees.
• May support multiple specialties in a hybrid role as needed.
• Performs other duties as assigned.

Knowledge, Skills and Abilities

• Ability to analyze problems, develop solutions, and implement new procedures.
• Ability to prioritize large volumes of work.
• Good communication skills.
• Working knowledge of Epic Resolute, EpicCare, and Epic CPOE.
• Working knowledge of MS Excel.

Physical Requirements/Working Conditions

• Clinical Setting.
• Office Setting.

Salary Information

Salary is commensurate with education, skills, and relevant experience.

Security and EEO Statement

This position is security-sensitive and subject to Texas Education Code 51.215, which authorizes UT Southwestern to obtain criminal history record information.

UT Southwestern Medical Center is committed to an educational and working environment that provides equal opportunity to all members of the University community.